The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

Weight loss

Dry mouth

Hyperglycemia

Decreased wound healing

Answer and Explanation

The Correct Answer is A

A. Weight loss is not a common side effect of prednisone. Instead, prednisone often causes weight gain due to fluid retention and increased appetite.
B. Dry mouth can occur with prednisone use, although it is less common than other side effects.
C. Hyperglycemia is a common side effect. Corticosteroids like prednisone can increase blood glucose levels, which is particularly concerning for clients with diabetes.
D. Decreased wound healing is a known side effect. Prednisone suppresses the immune system and inflammatory response, leading to delayed tissue repair.

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Correct Answer is C

Explanation

A. Brain Natriuretic Peptide (BNP) is a marker for heart failure, not the primary diagnostic test for myocardial infarction (MI).
B. Total Lactate Dehydrogenase (LDH) was historically used but is not specific for MI and has been replaced by troponin testing.
C. Troponin is correct. Cardiac-specific troponins (Troponin I and Troponin T) are the gold standard for detecting myocardial injury. Elevated levels indicate myocardial damage and are crucial for diagnosing MI.
D. Creatinine is important for assessing kidney function but is not a marker for myocardial infarction.

A. Weight gain B. Shortness of breath C. Pulmonary embolism D. Anorexia

Correct Answer is B

Explanation

A. Weight gain is more commonly associated with right-sided heart failure due to fluid retention and peripheral edema, not left-sided heart failure.
B. Shortness of breath (dyspnea) is correct. Left-sided heart failure causes pulmonary congestion, leading to dyspnea, orthopnea, and pulmonary edema as blood backs up into the lungs.
C. Pulmonary embolism is not a direct manifestation of left-sided heart failure. While heart failure increases the risk of clot formation, a pulmonary embolism is a separate condition.
D. Anorexia is more common in right-sided heart failure, as systemic venous congestion can lead to gastrointestinal edema and poor appetite.

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The client is being discharged with a prescription of prednisone. Which of the following is not a common side effect for this corticosteroid?

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Naxlex Comprehensive Predictor Exams

A client came into the emergency room with a possible myocardial infarction. The provider orders a series of blood tests to be drawn, which lab should the nurse anticipate will be drawn?

Correct Answer is C

Explanation

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse the client is developing this condition?

Correct Answer is B

Explanation

Which of the following is a complication of heart failure?

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The nurse is providing care to a client with a suspected pulmonary embolism. Which of the following is not a manifestation of a pulmonary embolism?

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